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  4. /HCPCS 99204
HCPCS 99204

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more at Sonora Community Hospital

Sonora, CA

Pricing by billing methodology

Price type

All methodologies

$170

Aggregated across all available billing methodologies for this code.

Case rate

$241

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$138

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$235

Reflects a negotiated percentage of total billed charges.

Other

$117

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: May 23, 2026

Compare to other hospitals

See New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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